Marshfield Care Center: Pharmacy Service Failures - MO
The Director of Nursing told inspectors she built the shower schedule herself every day. She acknowledged that a lot of improvements needed to be made and that staffing had become a serious problem. Some shifts left just three aides responsible for 48 residents.
The system for tracking showers was elaborate enough on paper. Aides were supposed to initial a shower sheet after each bath, note any skin concerns, hand the sheet to a charge nurse for sign-off, and then route it to a scan pile. The Assistant Director of Nursing said she didn't know showers were being skipped until she went looking for completed shower sheets on the day of the inspection. She didn't find as many as she expected.
Nobody had been assigned to make sure it happened.
The Interim Administrator told inspectors residents should receive showers twice a week, or more often if they requested it or their care plan called for it. He or she said they did not like seeing residents go weeks without one.
The inspection, which began as a complaint investigation, was completed November 24, 2025. Inspectors rated the harm level as minimal or potential, and noted the problem affected some residents. The facility's plan of correction was not included in the inspection documents reviewed.
What the records didn't show was how many residents went without showers, or for how long, before someone noticed the shower sheets weren't coming in.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Marshfield Care Center For Rehab and Healthcare from 2025-11-24 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 4, 2026 · Our methodology
MARSHFIELD CARE CENTER FOR REHAB AND HEALTHCARE in MARSHFIELD, MO was cited for violations during a health inspection on November 24, 2025.
The Director of Nursing told inspectors she built the shower schedule herself every day.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.